Journal ArticleDOI
The twelve-month outcome of patients with neurotic illness in general practice
A. H. Mann,R. Jenkins,E. Belsey +2 more
TLDR
The findings of this study are seen to support a triaxial assessment and classification of non-psychotic psychiatric disorders, with symptoms, personality and social state being rated independently.Abstract:
One hundred patients, selected to be representative of those attending general practitioners with non-psychotic psychiatric disorders were followed up for one year. Standard assessments of mental state, personality, social stresses and supports were carried out for each patient at the outset and after a year. The outcome for this cohort determined both by the level of psychiatric morbidity at interview after one year and by the pattern of the psychiatric morbidity during the year has been analysed with reference to the assessment measures. Discriminant function analysis indicates that the initial estimate of the severity of the psychiatric morbidity and a rating of the quality of the social life at the time of follow-up are the only factors that significantly predict the psychiatric state after one year. Social measures also predict a pattern of illness characterized by a rapid recovery after the initial assessment. Patients who reported continuous psychiatric morbidity during the year were older, physically ill and very likely to have received psychotropic drugs. Receipt of this medication during the year was associated with initial assessments of abnormality of personality, older age, and a diagnosis of depression. The findings of this study are seen to support a triaxial assessment and classification of non-psychotic psychiatric disorders, with symptoms, personality and social state being rated independently.read more
Citations
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Journal ArticleDOI
The effects of stressful life events on depression.
TL;DR: This chapter reviews recent research on the relationship between stressful life experiences and depression, and a distinction is made between aggregate studies of overall stress effects and focused studies of particular events and difficulties.
Journal ArticleDOI
Common Mental Disorders and Disability Across Cultures: Results From the WHO Collaborative Study on Psychological Problems in General Health Care
TL;DR: The consistent relationship of psychopathology and disability indicates the compelling personal and socioeconomic impact of common mental illnesses across cultures and suggests the importance of impairments of higher-order human capacities as determinants of functional disability.
Book ChapterDOI
The empirical case for the common factors in therapy: Quantitative findings.
Ted P. Asay,Michael J. Lambert +1 more
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Epidemiology of depression in primary care.
Wayne Katon,Herbert C. Schulberg +1 more
TL;DR: The majority of longitudinal studies have determined that severity of initial depressive symptoms and the presence of a comorbid medical illness were predictors of persistence of depression.
Journal ArticleDOI
Generalized anxiety disorder.
TL;DR: Generalized anxiety disorder is a relatively new clinical entity and current understanding of this syndrome lacks a solid research base, however, useful generalizations can be derived from earlier studies of anxiety neurosis and other previously defined anxiety syndromes.
References
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Journal ArticleDOI
The social readjustment rating scale
Thomas H. Holmes,Richard H. Rahe +1 more
TL;DR: This report defines a method which achieves etiologic significance as a necessary but not sufficient cause of illness and accounts in part for the time of onset of disease and provides a quantitative basis for new epidemiological studies of diseases.
Journal ArticleDOI
Social support as a moderator of life stress
TL;DR: It appears that social support can protect people in crisis from a wide variety of pathological states: from low birth weight to death, from arthritis through tuberculosis to depression, alcoholism, and the social breakdown syndrome.
Book
Social Origins of Depression: A Study of Psychiatric Disorder in Women
George W. Brown,Tirril Harris +1 more
Journal ArticleDOI
The influence of family and social factors on the course of psychiatric illness. A comparison of schizophrenic and depressed neurotic patients.
Christine Vaughn,Julian Leff +1 more
TL;DR: Important additive effects between various social influences and pharmacological treatments have been revealed which make it possible to predict relapse patterns in schizophrenia with considerable precision.
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